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A 25-Year Experience With Vagotomy-Antrectomy
J. Lynwood Herrington, Jr., MD;
John L. Sawyers, MD;
H. William Scott, Jr., MD
AMA Arch Surg. 1973;106(4):469-474.
Abstract
During the past 25 years our surgical group, utilizing three affiliated hospitals, has performed vagotomy-antrectomy on 3,584 patients. The follow-up has been 98%. The operative mortality has declined from 3.1% in the 1950s to the present mortality of 1.6%. The overall satisfactory results with the combined procedure has been 94% and the recurrent ulcer rate is 0.6%.
The clinical study supports the concept that vagotomy-antrectomy is the most effective operation to prevent recurrent ulceration. It can be performed with safety in most patients with complications of ulcer, but it is contraindicated in the high-risk individual and in circumstances where dissection about the duodenum would prove hazardous. Vagotomy-antrectomy remains the procedure of choice and lesser operations for ulcer are used in only certain selected cases.
Author Affiliations
Nashville, Tenn
From the Department of Surgery, Vanderbilt University Medical Center, the Metropolitan City Hospital, St. Thomas Hospital, and the Edwards-Eve Clinic Association, Nashville, Tenn.
Footnotes
Accepted for publication Dec 15, 1972.
Read before the 80th annual meeting of the Western Surgical Association, Rochester, Minn, Nov 17, 1972.
Reprint requests to 2001 Hayes St, Nashville, Tenn 37203 (Dr. Herrington).
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